Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury.

Szczegóły
Abstrakt

Tytuł:: Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury.
Autorzy:: Fay TB; Department of Psychology, Ohio State University, Columbus, OH 43205, USA.
Yeates KO
Taylor HG
Bangert B
Dietrich A
Nuss KE
Rusin J
Wright M
Źródło:: Journal of the International Neuropsychological Society : JINS [J Int Neuropsychol Soc] 2010 Jan; Vol. 16 (1), pp. 94-105. Date of Electronic Publication: 2009 Oct 19.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Publication: Cambridge : Cambridge University Press
Original Publication: New York, NY : Cambridge University Press,
MeSH Terms:: Brain Injuries/*classification
Brain Injuries/*complications
Cognition/*physiology
Cognition Disorders/*etiology
Adolescent ; Brain Injuries/psychology ; Child ; Child Behavior Disorders/diagnosis ; Female ; Humans ; Linear Models ; Longitudinal Studies ; Magnetic Resonance Imaging/methods ; Male ; Neuropsychological Tests ; Parents/psychology ; Self Concept ; Time Factors
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Grant Information:: K02 HD044099 United States HD NICHD NIH HHS; R01 HD039834-05 United States HD NICHD NIH HHS; R01 HD39834 United States HD NICHD NIH HHS; K02 HD44099 United States HD NICHD NIH HHS; R01 HD039834 United States HD NICHD NIH HHS
Entry Date(s):: Date Created: 20091020 Date Completed: 20100302 Latest Revision: 20211020
Update Code:: 20240104
PubMed Central ID:: PMC2835160
DOI:: 10.1017/S1355617709991007
PMID:: 19835663
: Czasopismo naukowe

The occurrence of postconcussive symptoms (PCS) following mild traumatic brain injury (TBI) in children may depend on cognitive reserve capacity. This prospective, longitudinal study examined whether the relationship between mild TBI and PCS is moderated by cognitive ability, which served as a proxy for cognitive reserve. Participants included 182 children with mild TBI and 99 children with orthopedic injuries (OI), ranging from 8 to 15 years of age when injured. Mild TBI were classified as complicated (n = 32) or uncomplicated (n = 150) depending on whether they were associated with trauma-related intracranial abnormalities on magnetic resonance imaging. PCS were assessed initially within 3 weeks of injury, and again at 1, 3, and 12 months post injury. The initial assessment also included standardized tests of children's cognitive skills and retrospective parent ratings of pre-injury symptoms. Hierarchical linear modeling indicated that ratings of PCS were moderated jointly by cognitive ability and injury severity. Children of lower cognitive ability with a complicated mild TBI were especially prone to cognitive symptoms across time according to parents and to high acute levels of PCS according to children's self-ratings. Cognitive reserve is an important moderator of the outcomes of mild TBI in children and adolescents.

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